Pseudoexfoliation Syndrome in Keratoconus Patient Following Penetrating Keratoplasty

To report a case of pseudoexfoliation syndrome in young keratoconus patient following penetrating keratoplasty.Case report: A 37 year old man who underwent penetrating keratoplasty 13 years ago in his left eye due to keratoconus developed pseudoexfoliation (PEX) syndrome in the operated eye. Apart from PEX material deposition on the crystalline lens ophthalmic exam was within normal limit. The donor was 40 year old man who died because of car accident. Occurrence of PEX following ocular surgery can be accidental or related to the surgery. Occurrence of PEX syndrome following intraocular surgery can be explained by triggering effect of surgery on susceptible patient.